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Contact Information

LILLY MA PEREZ, CPNP-PC
180 E PULASKI RD
HUNTINGTON STATION, NY11746-1915
 Phone: 631-425-3811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LILLY MA PEREZ · (Female)

NPI # 1497139869
Status Active
Credentials CPNP-PC
Entity Individual
Enumeration date 07/16/2015
Last updated 02/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 655723
  • NY License # F382604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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